scholarly journals Adverse events over the life course and later-life wellbeing and depressive symptoms in older people

2020 ◽  
pp. 1-15
Author(s):  
Sol Richardson ◽  
Ewan Carr ◽  
Gopalakrishnan Netuveli ◽  
Amanda Sacker

ABSTRACT Objectives: Exposures to adverse events are associated with impaired later-life psychological health. While these associations depend on the type of event, the manner in which associations for different event types depend on when they occur within the life course has received less attention. We investigated associations between counts of adverse events over the life course, and wellbeing and mental health outcomes in older people, according to their timing (age of occurrence), orientation (self or other) and, both their timing and orientation. Design: Linear and logistic random-effects models for repeated observations. Setting: England, 2002–2015. Participants: A total of 4,208 respondents aged >50 years with 22,146 observations across Waves 1–7 of the English Longitudinal Study of Ageing. Measurements: Cumulative adversity was measured by counts of 16 types of events occurring within four age ranges over the life course using retrospective life history data. These were categorized into other- (experienced through harms to others) and self-oriented events. Outcomes included CASP-12 (control, autonomy, self-realization, and pleasure), the eight-item Centre of Epidemiological Studies Depression Scale, and self-appraised subjective life satisfaction. Results: Additional adverse events were associated with lower CASP-12 and life satisfaction scores, and higher odds of probable depressive caseness. In childhood, other-oriented events had a larger negative association with later-life wellbeing than self-oriented events; the converse was found for events occurring in adulthood. Conclusions: Events occurring at all life course stages were independently associated with both later-life wellbeing and depression in a cumulative fashion. Certain age ranges may represent sensitive periods for specific event types.

2011 ◽  
Vol 41 (10) ◽  
pp. 2057-2073 ◽  
Author(s):  
C. R. Gale ◽  
A. Aihie Sayer ◽  
C. Cooper ◽  
E. M. Dennison ◽  
J. M. Starr ◽  
...  

BackgroundSymptoms of anxiety and depression are common in older people, but the relative importance of factors operating in early and later life in influencing risk is unclear, particularly in the case of anxiety.MethodWe used data from five cohorts in the Healthy Ageing across the Life Course (HALCyon) collaborative research programme: the Aberdeen Birth Cohort 1936, the Caerphilly Prospective Study, the Hertfordshire Ageing Study, the Hertfordshire Cohort Study and the Lothian Birth Cohort 1921. We used logistic regression to examine the relationship between factors from early and later life and risk of anxiety or depression, defined as scores of 8 or more on the subscales of the Hospital Anxiety and Depression Scale, and meta-analysis to obtain an overall estimate of the effect of each.ResultsGreater neuroticism, poorer cognitive or physical function, greater disability and taking more medications were associated in cross-sectional analyses with an increased overall likelihood of anxiety or depression. Associations between lower social class, either in childhood or currently, history of heart disease, stroke or diabetes and increased risk of anxiety or depression were attenuated and no longer statistically significant after adjustment for potential confounding or mediating variables. There was no association between birth weight and anxiety or depression in later life.ConclusionsAnxiety and depression in later life are both strongly linked to personality, cognitive and physical function, disability and state of health, measured concurrently. Possible mechanisms that might underlie these associations are discussed.


Author(s):  
Torbjörn Bildtgård ◽  
Peter Öberg

Until recently the sex life of older people was more or less invisible in family and gerontological research. This chapter contributes to breaking this silence by focusing on the role and meaning of sex in intimate relationships in later life. Based on biographical case studies, the chapter investigates how sexual norms have changed over the life course of contemporary cohorts of older people and how they have experienced this change. The chapter considers sexual intimacy as part of new intimate relationships established late in life and questions the persistent assumption that older people who date are primarily looking for companionate relationships. It is shown that older people’s ideas about sex are deeply embedded in an ideology of love, where sex tends to be viewed as a natural part of a loving relationship, while sex outside of a loving relationship – also in a loveless marriage – is frowned on.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S128-S129
Author(s):  
Melanie S Hill ◽  
James E Hill ◽  
Stephanie Richardson ◽  
Jessica Brown ◽  
Jeremy B Yorgason ◽  
...  

Abstract Identity scholars have suggested that having a unified sense of past, present, and future is related to positive well-being outcomes (Whitbourne, Sneed & Skultety, 2009). One’s occupation can have a profound influence on an individual’s identity throughout the life course (Nazar & van der Heijden, 2012). Research has looked at career mobility among younger age groups (Baiyun, Ramkissoon, Greenwood, & Hoyte, 2018); however, less is known about the impact of career stability later in life. Consistency in career choice over the life course may have positive outcomes down the line as career becomes part of an individual's identity. The current study uses the Life and Family Legacies dataset, a longitudinal state-representative sample of 3,348, to examine individual’s careers at three points in the life course: high school (projected career choice), early adulthood, and later life. Results revealed that a match of desired career in high school and actual career in early adulthood was not predictive of life satisfaction or depressive symptoms in later life. However, a match of career in early adulthood and later life was significantly related to better life satisfaction and less depressive symptoms, which was explained through higher levels of job satisfaction. This study highlights the importance of acquiring and maintaining a career that is fulfilling to the individual over the course of early adulthood to later life.


2012 ◽  
Vol 18 (4) ◽  
pp. 29
Author(s):  
John Field

The nature of transitions across the lifecourse is changing, as are the ways in which these transitions are understoodand investigated by social scientists. Much earlier debate on older adults’ transitions has tended to be rooted in acco-unts of relatively fixed social roles and age-based social stages. However, while we can detect some tendencies towardsdestandardization and restandardization of the lifecourse in later life, we can also see significant continuities in theinfluences of socio-economic position, gender, and ethnicity, as well as of generational position, that continue to affectpeople’s life chances, as well as the expectations and experiences of transition of older people. The paper examines theinterplay of these complex and contradictory structural positions and cultural locations on transitions, and considersthe ways in which older people use and understand learning, formally and informally, as a way of exercising agencyand recreating meaning. It will draw on recent research into the life histories of adults in Scotland, a relatively smallcountry with a typically European pattern of demographic change. The study was concerned with agency, identity,change and learning across the life course, and this paper will concentrate on the evidence relating to experiences oftransition in later life. It will particularly focus on the idea of ‘educational generations’ as a key concept that helps usunderstand how adults use and interpret learning in later life.


2021 ◽  
Author(s):  
Chiara L. Comolli ◽  
Danilo Bolano ◽  
Laura Bernardi ◽  
Marieke Voorpostel

Critical events are occurrences that create turning points, disrupt individuals’ life courses and affect wellbeing. Here, we investigate how the co-occurrence of critical events and, in particular, the spacing in time of events across the life course influences life satisfaction in later life. We argue that life phases densely populated of critical events may translate into an acute resource drain affecting wellbeing in long term more strongly than if the same events were sparsely distributed. We use retrospective biographical information on critical events in family, work, health and residential trajectories in Switzerland to construct a life course Concentration Index of events based on the number, the time-lag between the occurrences and the number of life domains involved. Our results show that the higher is the concentration in time of critical events, the stronger will be their negative long-term effect on wellbeing, net of socio-demographic characteristics, of the total number of events ever experienced and of the time since the last event. Furthermore, such negative effect is even stronger if the person experienced periods dense of events during midlife and older adulthood than during youth or early adulthood.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S588-S588
Author(s):  
Dale Dannefer ◽  
Christopher Phillipson ◽  
Dale Dannefer

Abstract This symposium addresses debates around the theme of precarity and its implications for understanding social and economic changes affecting the lives of older people. To date, the concept of precarity has been applied to several subpopulations by various academic disciplines but has yet to be systematically applied to later life. The symposium will give particular attention to the extent to which the lens provided by precarity can illuminate different types of inequalities experienced through the life course and reflected in public policies directed at older people. Chris Phillipson reviews theoretical perspectives relating to precarity, examining their potential contribution for the development of critical gerontology. His paper also considers the extent to which the concept of ‘precarious ageing’ offers a competing or complementary view to theories of ‘active’ and ‘successful ageing’. Larry Polivka examines the growing precarity of life for older Americans emanating from austerity budgets and privatization of public services. The paper suggests that policies such as health care and long term care are in jeopardy, creating a glide path toward the extension of precarious employment into a precarious retirement for millions of older people. Wenxuan Huang examines how the focus on agency and other individual-level foci obscure understanding of social dynamics. Finally, Amanda Grenier draws on a scoping review of precarity to outline conceptual distinctions between frailty, vulnerability, and precarity. She presents reflections on what these concepts offer in terms of understandings of late life the study of disadvantage across the life course.


2009 ◽  
pp. 139-156
Author(s):  
katherine Hill

- Later life can be seen as period of income stability compared to other stages of the life course, and a key issue for older people in low income households is that they have limited means of pro-actively improving their financial situation. This article draws on a qualitative longitudinal study which explored how older people experienced changes in their financial circumstances across a two year period. The findings demonstrate that even where people did not feel that their financial circumstances had changed overall, this did not necessarily indicate a steady state. The study explored the interrelationship between changes in income and outgoings, as well as changing needs, and this article provides an insight into how social and personal resources are drawn on to help manage financial change and maintain stability. In doing so, it illustrates the extent of work that can be involved in maintaining a steady state in constrained circumstances.


Author(s):  
Sheila Peace ◽  
Martin Maguire ◽  
Colette Nicolle ◽  
Russ Marshall ◽  
John Percival ◽  
...  

This chapter discusses the domestic kitchen in the lives of older people whose ages range across four decades and who were born between 1919 and 1948. They were living in various types of housing from detached to terraced; from maisonette to flat; from mainstream to supportive. By looking at past experiences of the kitchen across the life course gendered and generational differences are seen that contribute to kitchen living in the 21st century. Examining use of the most recent kitchen shows how biopsychosocial factors come together with design and on-going adaptation being both enabling and disabling. The kitchen is seen as a mainstay of the home environment and in later life central to maintaining personal autonomy


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 596-596
Author(s):  
Helen Barrie ◽  
Debbie Faulkner ◽  
Laurence Lester

Abstract Home is central to health and wellbeing; yet the changing nature of work, household dynamics and especially housing markets, with scant policy attention and action around this, means low-middle income households are struggling in many countries. In Australia, while older people are considered to be at less risk because of higher levels of home ownership, there is a growing body of evidence about the living situations of older people who have not attained or retained home ownership over the life course and have limited wealth and savings moving into later life. This paper presents the findings of multivariate regression modelling using HILDA, a national longitudinal panel survey, to identify the profile(s) of older people at risk of homelessness in Australia. The data makes it clear a range of structural and individual factors across the life course are increasingly impacting on the ability to live a good life in older age.


Author(s):  
Baowen Xue ◽  
Penny Tinkler ◽  
Anne McMunn

Abstract Objectives To investigate whether the timing and nature of women’s transitions out of full-time (FT) education are related to later-life subjective well-being and the life-course experiences that might explain any associations seen. Methods Data are from women in Wave 3 of the English Longitudinal Study of Ageing who have participated in the life history interview and were aged 50+ at the interview (n = 3,889). Using multichannel sequence analysis, we identified 6 types of transition out of FT education (ages 14–26). Regression models were used to examine associations between transition types and life satisfaction, quality of life, and depressive symptoms at age 50+. Results Women who made early transitions to married parenthood and FT domestic labor had lower levels of well-being on all 3 later-life well-being outcomes (p < .01), compared to women who made later transitions to family life and remained employed. Women who remained single up to age 26 also had lower life satisfaction (p < .05) and quality of life (p < .01) in later life than their counterparts who married and had children. These associations were explained by the life-course socioeconomic and relationship pathways. Advantaged childhood socioeconomic circumstances and higher educational qualifications set “Later Marriage and Later employment” women apart onto advantaged trajectories and a better quality of life later (p < .01). Discussion The timing and nature of exits from FT education played a pivotal role in setting people onto life-course trajectories that influence well-being in later life for this older generation of women.


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